2018 in Review: National Enrollment and Market Share for Blue Cross and Blue Shield Plans

January 7, 2019

by Carina Belles Nearly one third of all medical lives in the U.S. are enrolled in a Blue Cross and Blue Shield affiliate plan, according to the latest update to AIS’s Directory of Health Plans. From 2017 to 2018, Blues’ overall national market share dropped to 31% from 35%, with enrollment losses in every sector […]

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by Carina Belles Nearly one third of all medical lives in the U.S. are enrolled in a Blue Cross and Blue Shield affiliate plan, according to the latest update to AIS’s Directory of Health Plans. From 2017 to 2018, Blues’ overall national market share dropped to 31% from 35%, with enrollment losses in every sector […]

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Blue Cross and Blue Shield plans are implementing innovative strategies to keep premiums low on Affordable Care Act (ACA)-compliant individual policies for 2019 as they navigate a changing market that continues to see a poor risk pool and will encounter new competition in the form of short-term policies over the coming months.

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Blue Cross and Blue Shield plans are implementing innovative strategies to keep premiums low on Affordable Care Act (ACA)-compliant individual policies for 2019 as they navigate a changing market that continues to see a poor risk pool and will encounter new competition in the form of short-term policies over the coming months.

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Value-Based Care Gains Steam as Blues Report Promising Results

December 3, 2018

Blues plans in New Jersey and Arizona are reporting good results from their value-based care programs, while plans in Idaho and Massachusetts are launching initiatives designed to move provider payments even further away from fee-for-service.

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Blues plans in New Jersey and Arizona are reporting good results from their value-based care programs, while plans in Idaho and Massachusetts are launching initiatives designed to move provider payments even further away from fee-for-service.

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Top 10 Blue Cross and Blue Shield Plans in the Individual Market

December 3, 2018

by Carina Belles

Blue Cross and Blue Shield plans insure about 44% of the nationwide individual commercial market, with more than 6.6 million members. Florida Blue is the Blues’ market leader, and No. 2 to Centene Corp. in the overall rankings, serving 71.5% of all individual lives in Florida alone. In 2018, both Florida Blue and Blue Shield of California surpassed previous market heavyweight Anthem, Inc., which left four state Affordable Care Act exchange markets at the end of 2017, losing about 1.2 million individual enrollees since then. Anthem seems to be walking back on this move, as it will return to statewide exchange markets in Ohio and Virginia in 2019. Investment in the exchange marketplaces continues to drive growth in this sector, though overall enrollment is still down from 2017. The top 10 Blues plans in the individual market, listed below, currently enroll about 76% of Blues exchange members, and 34% of all exchange lives.

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by Carina Belles
Blue Cross and Blue Shield plans insure about 44% of the nationwide individual commercial market, with more than 6.6 million members. Florida Blue is the Blues’ market leader, and No. 2 to Centene Corp. in the overall rankings, serving 71.5% of all individual lives in Florida alone. In 2018, both Florida Blue and Blue Shield of California surpassed previous market heavyweight Anthem, Inc., which left four state Affordable Care Act exchange markets at the end of 2017, losing about 1.2 million individual enrollees since then. Anthem seems to be walking back on this move, as it will return to statewide exchange markets in Ohio and Virginia in 2019. Investment in the exchange marketplaces continues to drive growth in this sector, though overall enrollment is still down from 2017. The top 10 Blues plans in the individual market, listed below, currently enroll about 76% of Blues exchange members, and 34% of all exchange lives.

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Blues Face Challenging MA-PD Market, Gain in Star Ratings

November 5, 2018

Blue Cross and Blue Shield-affiliated Medicare Advantage (MA) plans may find it difficult to win additional members for 2019 as new national and provider-owned plans jump into markets and more people select to stick with their current insurer.

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Blue Cross and Blue Shield-affiliated Medicare Advantage (MA) plans may find it difficult to win additional members for 2019 as new national and provider-owned plans jump into markets and more people select to stick with their current insurer.

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